promotion training, development and practice in health promotion in Australia and other countries.Debate and discussion has led to a qualified acceptance of the usefulness of competencies as a powerful and precise language for describing the field and for determining training and development needs. However, this acceptance is contingent upon competencies being used for positive intents rather than as a tool for bureaucratic control.This study has demonstrated that health promotion is now sufficiently established that it is possible to achieve broad consensus about 'core' competencies, as well as 'specific' competencies. In the face of continuing health sector reform and change, these competencies need to be articulated and communicated. Health promoters need to be able to define their practice and training needs in terms of competencies. In doing so they will ensure the survival of health promotion in a complex and changing health system.While the competencies identified in this study have provided a framework for identifying competency standards for health promotion as an occupation or profession, this is beyond the scope of this research. This is a potential area of future debate, research and development.Competencies are evolutionary, and the health promotion field is dynamic. It is recommended that similar investigations are repeated at least five yearly.
Background: U.S. Hispanic physicians constitute a considerable professional collective, and they may be most suited to attend to the health education needs of the growing U.S. Hispanic population. These educational needs include tobacco use prevention and smoking cessation. However, there is a lack of information on Hispanic physicians' tobacco intervention practices, their level of awareness and use of cessation protocols, and the type of programs that would best address their tobacco training needs. The purpose of this study was to assess the tobacco intervention practices and training needs of Hispanic physicians.
Polycrystalline nickel based superalloys are prone to grain boundary attack by atmospheric oxygen either in the form of time dependent intergranular cracking during dwell time within a low cycle fatigue loading spectrum, known as hold time cracking, or in the form of intercrystalline oxidation at higher temperatures. In the case of hold time cracking of IN718 it has been shown that the crack propagation velocity is determined by local microstructure and environmental conditions, reaching values up to 10 mm s 21 under four-point bending conditions at 650uC in air. The governing mechanism for this kind of time dependent quasi-brittle intergranular failure has been recognised to be 'dynamic embrittlement', i.e. diffusion of the embrittling element into the elastic stress field ahead of the crack tip, followed by stepwise decohesion. In a very similar way to intercrystalline oxidation, this damage mechanism seems to depend on the local microstructure. Assuming that oxygen grain boundary diffusivity is particularly slow for special coincident site lattice (CSL) grain boundaries, bending and oxidation experiments were carried out using specimens that underwent successive steps of deformation and annealling, i.e. grain boundary engineering. It has been shown that an increase in the fraction of special CSL grain boundaries yields a higher resistance to both intercrystalline oxidation and hold time cracking by dynamic embrittlement.
Health professionals must continuously address health promotion issues using the latest strategies and research. Currently in health care, too often an underdeveloped and under supported agenda prioritizes problems, issues, and solutions. Further, an ongoing competition exists among issues due to an undocumented agenda-setting process to gain the attention of media, public, and policy makers. Agendasetting is based on the belief that the media influence what we talk about, rather than controlling what we think, and how often an issue appears in the media influences the policy agenda (Dearing & Rogers, 1996). If an issue is “salient” and receives frequent or expansive coverage by media, audience members will talk more about that issue than one that is not as salient. A Health Promotion Agenda-Setting approach works to specify and prioritize problems and alternative solutions for increasing media exposure and setting agendas for “sustained” courses of action, (Kozel et al., 2003). The crucial link between agenda-setting and the process of establishing effective legislation, policy, and programs has been researched. However, many health practitioners do not understand what agenda setting is, nor how to apply agenda setting within the field of health education. Professional development in Health Promotion Agenda-Setting offers health education practitioners new knowledge, skills, methods, and opportunities to strengthen practices that influence the public health agenda and transform health promotion leadership.
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